| NPI | 1891299517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRIANNA E COLOSSIO Clinical Mental Health Therapist 541-623-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |